Kettering Affiliated Health Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KETTERING AFFILIATED HEALTH SERVICES

Doing business as

Kettering Breast Evaluation Center

Practice address

580 Lincoln Park Boulevard, Suite 200
Kettering Breast Evaluation Center
Kettering, OH 45429

Phone

(937) 299-0099

NPI assigned

Sep 6, 2006

Last updated

Jun 15, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brett Spenst

Title

KMC Network Cfo

Phone

(937) 395-8816

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kettering Breast Evaluation Center Doing business as

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kettering Affiliated Health Services

  dba Sycamore Glen Health Center

  • Skilled Nursing Facility
  • Miamisburg, OH
  • NPI 1588772776
  NPPES parent name
• Kettering Affiliated Health Services

  dba Sycamore Glen Retirement Community

  • Assisted Living Facility
  • Miamisburg, OH
  • NPI 1881023885
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1003919176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 LEITER RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423660",
            "telephone_number": "937-298-3399",
            "fax_number": "937-522-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BOULEVARD, SUITE 200",
            "address_2": "KETTERING BREAST EVALUATION CENTER",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-299-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING AFFILIATED HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "SPENST",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "KMC NETWORK CFO",
        "authorized_official_telephone_number": "937-395-8816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettering Breast Evaluation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Kembre, PT, DPT
• Olivia Rose Kepner, MSN, FNP-BC
• Johnna K Kern, DO
• Kasindra Nicole Kerns, MS, PC
• Stephanie S. Kerr, CDA
• Kettering Anesthesia Associates, Inc
• Kettering Card and Vas Surg
• Kettering Cardiothoracic and Vascular Surgeons, Inc
• Kettering Chiropractic Center Inc
• Kettering City School District

• Clinic/Center in Kettering, OH
• Providers in Kettering, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.